Organization
BLANCO PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG FRANK NEFFENDORF PT (OWNER)
(830) 833-3068
Entity
Organization
Contact information
Practice address
11 MAIN ST, BLANCO, TX 78606-4900
(830) 833-3068
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 858-4106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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